Kelly R. Evenson, Amy H. Herring and Fang Wen
Few studies measure physical activity objectively or at multiple time points during postpartum. We describe physical activity at 3- and 12-months postpartum among a cohort of women using both self-reported and objective measures.
In total, 181 women completed the 3-month postpartum measures, and 204 women completed the 12-month postpartum measures. Participants wore an ActiGraph accelerometer for 1 week and completed in-home interviews that included questions on physical activity. A cohort of 80 women participated at both time points. Poisson regression models were used to determine whether physical activity differed over time for the cohort.
For the cohort, average counts/minute were 364 at 3-months post-partum and 394 at 12-months postpartum. At both time periods for the cohort, vigorous activity averaged 1 to 3 minutes/day, and moderate activity averaged 16 minutes/day. Sedentary time averaged 9.3 hours at 3-months postpartum and 8.8 hours at 12-months postpartum, out of a 19-hour day. Average counts/minute increased and sedentary behavior declined from 3- to 12-months postpartum.
Interventions are needed to help women integrate more moderate to vigorous physical activity and to capitalize on the improvements in sedentary behavior that occur during postpartum.
Catherine J. Vladutiu, Kelly R. Evenson, Anne Marie Jukic and Amy H. Herring
Postpartum women are encouraged to participate in ≥ 150 min/week of moderate-intensity aerobic activity, but few women achieve this recommendation. This study sought to identify factors associated with participation in physical activity after pregnancy.
We examined correlates of any self-reported moderate-to-vigorous physical activity (MVPA) (≥ 10 min/week across all modes) and any recreational MVPA (≥ 10 min/week) among women enrolled in the Pregnancy, Infection, and Nutrition Postpartum study at 3 months postpartum (n = 667) and at 12 months postpartum (n = 530). Potential correlates were identified according to the socioecological framework.
At 3 and 12 months postpartum, lower odds of participation in any MVPA were associated with lower education, breastfeeding, and minimal emotional support. Low exercise self-efficacy, receipt of advice about physical activity, and warmer seasons were associated with higher odds of any MVPA. For recreational MVPA, lower odds of participation were associated with unmarried status, lower education, employment, low income, preeclampsia, and minimal emotional support. Involvement in child/adult care activities, transportation MVPA, and warmer seasons were associated with higher odds of recreational MVPA.
These findings suggest that several modifiable intrapersonal and interpersonal factors are associated with postpartum MVPA and should be considered when developing interventions to help women maintain or increase MVPA after pregnancy.
Aileen P. McGinn, Kelly R. Evenson, Amy H. Herring, Sara L. Huston and Daniel A. Rodriguez
Crime is one aspect of the environment that can act as a barrier to physical activity. The goals of this study were to (1) compare measures of perceived crime with observed crime and (2) examine the association between the independent and combined effects of objective and perceived crime on physical activity.
Perceived crime and physical activity were assessed in 1659 persons via telephone survey. Crime was objectively measured in a subset of 303 survey participants.
For all types of crime, there was low agreement between objective and perceived measures. Both perceived and objectively measured crime were independently associated with leisure activities.
This study suggests that perceptions and objective measures of crime are both important correlates of leisure physical activity. Evaluating both measures is necessary when examining the relationship between crime and physical activity to develop interventions that will most influence leisure physical activity levels.
Anne Marie Z. Jukic, Kelly R. Evenson, Amy H. Herring, Allen J. Wilcox, Katherine E. Hartmann and Julie L. Daniels
Correlates of prenatal physical activity can inform interventions, but are not well-understood.
Participants in the Pregnancy, Infection, and Nutrition 3 Study were recruited before 20 weeks gestation. Women self-reported frequency, duration, and mode of moderate and vigorous physical activities. We used logistic regression to identify correlates of any physical activity (≥10 minutes/week of any mode), any recreational activity (≥10 minutes/week), and high volume recreational activity (either ≥150 minutes/week of moderate or ≥75 minutes/week of vigorous). Our analysis included 1752 women at 19-weeks gestation and 1722 at 29 weeks.
Higher education, white race, and enjoyment of physical activity were positively correlated with all 3 outcomes. Any recreational activity was negatively associated with parity, body mass index, and history of miscarriage. The associations of history of miscarriage and body mass index differed at 19 weeks compared with 29 weeks. Single marital status, health professional physical activity advice, and time for activity were associated with high volume recreational activity only.
Correlates of physical activity differed by mode and volume of activity and by gestational age. This suggests that researchers planning physical activity interventions should consider the mode and amount of activity and the gestational age of the participants.